Strategije izboljšanja polifarmacije pri starajoči se populaciji v Evropi. Dokazi iz projekta skupnega ukrepanja ADVANTAGE
Ključne besede:
polypharmacy, elderly, frailty, prescribing, guidelinesPovzetek
Polifarmacija pri multimorbidnih starejših in krhkost predstavljata pomemben zdravstveni problem, ki ga je treba reševati. Naš cilj je bil opredeliti trenutno stanje glede uporabe orodij, smernic in politik na področju polifarmacije pri starostnikih v Evropi. Zato smo sistemsko iskali članke, objavljene med letoma 2002 in 2017, v strokovnih in znanstvenih revijah, kot tudi mednarodne standarde, smernice in raziskovalne študije, ki se izvajajo v Evropski uniji. Pregledali smo tudi sive dokumente, ki smo jih iskali oportunistično. Skupno število vseh rezultatov iskanja je bilo 28796, po upoštevanju izključitvenih kriterijev je za analizo ostalo 25 člankov. Proučenih je bilo več pristopov za zmanjšanje polifarmacije, vendar ima vsaka omejitve, ki so večinoma specifične za regijo in kontekst njihovega izvora. Ugotovljeno je bilo, da je spodbujanje ustrezne polifarmacije zelo kompleksno. Vsekakor je bilo vloženega že veliko truda, vendar morajo biti programi, ki poskušajo rešiti problem polifarmacije pri starejših z multimorbidnostjo, osredotočeni na bolnika, multidisciplinarni in morajo upoštevati kontekst sistema zdravstvenega varstva, v katerem se jih izvaja.
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